Individual
BISHARA FREIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 W 13 MILE RD, STE. 707, ROYAL OAK, MI 48073-6710
(248) 551-0487
Mailing address
750 STEPHENSON HWY, BEAUMONT PAYOR CONTRACT SERVICES, TROY, MI 48083-1103
(248) 577-3511
(248) 577-3526
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
4301056382
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2662613
—
MI
01
—
350F361320
BCBSM
MI
Enumeration date
03/21/2006
Last updated
10/22/2020
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